| NPI | 1770576456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: KY 22356) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY 22356) |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2016-02-16 |